Getting Paid for COVID-19 Lab Tests
From CMS and CGS: COVID-19: Which Laboratory Claims Require the NPI of the Ordering/Referring Professional? During the COVID-19 Public Health Emergency, CMS is relaxing billing requirements for a limited number …
Updates for Telephone Evaluation and Management Visits
From CGS: The March 30 Interim Final Rule with Comment Period added coverage during the Public Health Emergency for audio-only telephone evaluation and management visits (CPT codes 99441, 99442, and …
VA Community Care Network (CCN) Starting in June for Region 4
From TriWest’s May 2020 Provider Pulse: The Department of Veterans Affairs (VA) new Community Care Network (CCN) is beginning its rollout in Region 4 on June 8, 2020. CCN is …
Reminder: Medicare FFS Claims 2% Payment Adjustment Suspended (Sequestration)
Section 3709 of the Coronavirus Aid, Relief, and Economic Security (CARES) Act temporarily suspends the 2% payment adjustment currently applied to all Medicare Fee-For-Service (FFS) claims due to sequestration. The …
CMS Reevaluates Accelerated Payment Program and Suspends Advance Payment Program
Today, CMS announced that it is reevaluating the amounts that will be paid under its Accelerated Payment Program and suspending its Advance Payment Program to Part B suppliers effective immediately. …
CARES ACT Provider Relief Fund Payment Attestation Portal Now Open
The CARES Provider Relief Fund Payment Attestation Portal is now available through hhs.gov/providerrelief. As a reminder, you must sign an attestation confirming receipt of the funds and agree to the …
Are You Taking Advantage of the Accelerated/Advance Payment Program from CMS?
CMS has delivered near $34 billion in the past week to the healthcare providers on the frontlines battling the 2019 Novel Coronavirus (COVID-19). The funds have been provided through the …
Revised Guidance: Billing for Professional Telehealth Distant Site Services During the Public Health Emergency
CMS has issued an update/correction to the previously released guidance on billing for professional telehealth distant site services during the public health emergency: “Building on prior action to expand reimbursement …
Accelerated and Advanced Payments for Medicare Providers: Protect Your Cash Flow!
In order to help alleviate cash flow for Medicare providers, CMS has been authorized to allow MACs (CGS, NGS, and Palmetto) to provide up to three months (180 Days) of …
CMS Approves Medicaid Section 1135 Waivers for 11 States to Fight COVID-19
CMS approved an additional 11 state Medicaid waiver requests under Section 1135 of the Social Security Act (Act), bringing the total number of approved Section 1135 waivers for states to …